Surgery Of The Urinary Tract

Question 1

Postoperative management from a surgery you want to do what? (3)
How much urine & how often

Answer 1

Urine output measurement
(Every 1-2 hour & 0.5ml at least )

Note colored consistency
Catheter patency

Daily weights

Question 2

You also want to take note of their respiratory status and abdominal distention
How do we take care of each?
(3)(3)

Answer 2

Respiratory
Nephrectomy flank pain
Administer analgesia & deep breathing techniques

Abdominal distention
Monitor for paralytic lieus
( check bowel sounds )

Iv fluids until we hear bowel sounds then oral

Regular diet

Question 3

We do methods of urinary diversion when urine flow is blocked from? (6)

Answer 3

Bladder cancer
Neurogenic bladder
Congenital anamailes
Strictures
Bladder trauma
Chronic bladder inflammation

Question 4

The most common is incontient urinary diversion, also called?

Answer 4

Ileal conduit ( ileal loop )

Question 5

How does incontient urinary diversion work? Or ileal conduit?

Answer 5

Ureter anastomosed to conduit ; bowel brought to abdominal wall to form stoma

Drips into external collection device

Question 6

Ileul conduct diversion is mainly used for ?

Answer 6

Institial cystitis

Question 7

Post operative management for ileul condict is ?
Prevent complications like? (6)

Answer 7

Atelectasis
Shock
Thrombophlebitis
Small bowel obstruction
Paralytic lieus
UTI

Question 8

You also want to prevent stoma injury and maintain urine output
What we will see as normal
And we want to encourage?
And that the patient does meticulous what care?

Answer 8

Mucus in urine
Encourage high fluid intake
Skin care!

Question 9

Patients might have a difficult time with their body image, so it’s important to?

Answer 9

Hear them out and concerns

Question 10

Discharge teaching of ileal conduit include? (3)

Answer 10

Symptoms of obstruction/infection
Ostomy care
( applicants & knowlege )
Follow up

Question 11

Additional information
Continent diversion is the Indiana pouch